Questionnaire Text

Questionnaire form view entire document:  text  image
Part 4: Death in household

Deaths in household in the last 12 months _ _

Total number of deaths
Questionnaire instructions view entire document:  text  image
94. Filling-in of Form B household questionnaire part - 4: death in household

This section is considered as part of household questionnaire with very sensitive questions. You should be polite and patient when asking these questions. You should explain to the respondents about this information which is very necessary for studying the death rate (per 1000 population), maternal death rate and for the calculation of the population growth rate. You should take special care to see that correct information is ascertained; you may have to put probing questions patiently to achieve this.

94.1 Deaths in household in the last 12 months: total Number of deaths

Columns (1) to (6) for recording death of any member of household in the last 12 months

This relates to death of any member of household during the last 12 months in the same household. Before recording any death you should know that the death of the person took place when he/she was living in the household. For example a woman who was formerly a member of household during the census had died as member of another household (which she joined after marriage) her death should not be recorded in the census household.

94.2 If a member of the census household died at hospital irrespective of the period of stay in the hospital such death should be recorded as in the census household. If a member of census household was traveling to some place for getting health care and died in that place, it should be recorded as in the census household. For example Nara who is member of household (A) in Kandal fell ill and went to Phnom Penh to receive treatment and stayed in the household of (B) in Phnom Penh. If he died in Phnom Penh, his death should be recorded in household (A) and not in household (B). To determine to which household a member belongs in such cases, six months or more may be treated as the period the person should have stayed in the household to treat him/her as belonging to that household.

94.3 For recording death in household in the last 12 months ten columns are provided. One line should be used for recording one death. The first column is for the serial number. In column 2 you should write full name of the deceased. In case of infant death where the infant is not given a name, write "Infant (Kouy Kim Deth's infant)". In column 3 you should fill-in sex of the deceased. In column 4. The relationship to head of household should be filled-in. For filling in col.4, the code list for relationship given below the column may be referred to and suitable code given. In column 5. The age at death in completed years of the deceased at the time of death should be recorded. In column 6 give appropriate code for the cause of death of the person. The list of causes of death given on the questionnaire contains one group of codes for illness and another for accidents. The codes from 01 to 11 relate to illness and codes from 12 to 15 for accidents. If there are two or more causes, give the code for one cause only after probing which was the most important cause.

If with all efforts (i.e. discussing with other members etc) you are not able to ascertain the actual cause of death of any person, enter code 16 (Not Known).

Column 7: has the death been registered with the civil authority in commune/Sangkat? yes: 1; No: 2

Death registration means that the death in the household was reported by any of the household members or any relative to the commune/Sangkat. If the respondent says that the death was registered with the civil authority in the commune/Sangkat concerned you should give code1, otherwise give code 2.